ArticleHealth expectations : an international journal of public participation in health care and health policy2018
Health literacy skills for informed decision making in colorectal cancer screening: Perceptions of screening invitees and experts.
Article in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Colorectal Cancer Screening Communication and Completion Among Black and Hispanic Primary Care Patients: A Cross-Sectional Study.Journal of general internal medicine · 2026Article
- Colorectal Cancer Screening Communication and Completion Among Black and Hispanic Primary Care Patients.Research square · 2026Article
- Investigating predictive factors of participation in colorectal cancer screening based on the Preventive Health Model (PHM) and health literacy.BMC primary care · 2026Article
- Effect of a Nurse-Led Educational Intervention on the Knowledge, Perceptions and Uptake of Cervical Cancer Screening among HIV-Infected Women in Kenya.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Association of health literacy with cancer survival: a single-centre prospective cohort study.Acta oncologica (Stockholm, Sweden) · 2025Article
- Perspectives of international experts and the Danish citizens on the 'relevant knowledge' that citizens need for making informed choices about participation in cancer screening: Qualitative study.Patient education and counseling · 2025Article
- Health literacy in adolescents and young adults in Benin: French translation and validation of the health literacy measure for adolescents (HELMA).Frontiers in psychology · 2024Article
- Decision-making on colorectal cancer screening in Curaçao - interviews with the target population.BMC public health · 2023Article
- Associations between health literacy and information-evaluation and decision-making skills in Japanese adults.BMC public health · 2022Article
- Motives for non-adherence to colonoscopy advice after a positive colorectal cancer screening test result: a qualitative study.Scandinavian journal of primary health care · 2020Article
- The Role of Health Literacy in Explaining the Relation between Educational Level and Decision Making about Colorectal Cancer Screening.International journal of environmental research and public health · 2019Article
- Questionnaire Validation of Colorectal Cancer Literacy Scale among Thai People in Northeastern ThailandAsian Pacific journal of cancer prevention : APJCP · 2019Article
- Health literacy skills for informed decision making in colorectal cancer screening: Perceptions of screening invitees and experts.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- What can We Learn From High-Performing Screening Programs to Increase Bowel Cancer Screening Participation in Australia?Cancer control : journal of the Moffitt Cancer CenterArticle
- Clinical and psychosocial constructs for breast, cervical, and colorectal cancer screening participation: A systematic review.International journal of clinical and health psychology : IJCHPArticle
- Reasons for No Colonoscopy After an Unfavorable Screening Result in Dutch Colorectal Cancer Screening: A Nationwide Questionnaire.Annals of family medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe process of informed decision making (IDM) requires an adequate level of health literacy. To ensure that all individuals have equal opportunity to make an informed decision in colorectal cancer (CRC) screening, it is essential to gain more insight into which health literacy skills are needed for IDM. Our aims were (i) to explore how individuals make a decision about CRC screening and (ii) to explore which skills are needed for IDM in CRC screening and (iii) to integrate these findings within a conceptual framework.
methodsWe conducted 3 focus groups with individuals eligible for CRC screening (n = 22) and 2 focus groups with experts in the field of health literacy, oncology and decision making, including scientific researchers and health-care professionals (n = 17). We used framework analysis to analyse our data.
resultsWe identified and specified ten health literacy skills, which varied from the ability to read and understand CRC screening information to the ability to weigh up pros and cons of screening for personal relevance. The skills were linked to 8 decision-making stages in CRC screening within a conceptual framework. We found differences in perceptions between screening invitees and experts, especially in the perceived importance of CRC screening information for IDM.
conclusionsThis study provides insight into the decision-making stages and health literacy skills that are essential for IDM in CRC screening. The proposed conceptual framework can be used to inform the development of context-based measurement of health literacy and interventions to support IDM in cancer screening.
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